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CERTIFICATE OF MOTOR INSURANCE

Our Ref: 21070


1. DESCRIPTION OF VEHICLES CERTIFICATE NUMBER 1139H00022000021070

Registration Mark: N474HBJ


FORD ESCORT MEXICO

2. NAME OF POLICYHOLDER 3. EFFECTIVE DATE OF THE COMMENCEMENT OF INSURANCE FOR THE PURPOSES OF THE RELEVANT LAW 4. DATE OF EXPIRY OF INSURANCE 5. PERSONS OR CLASSES OF PERSONS ENTITLED TO DRIVE

CARLA GLENTWORTH 29 March 2013 06:00 29 March 2013 22:00 The Policyholder, providing they are accompanied by a supervising driver as required by current Driving Licence legislation.

6. LIMITATIONS AS TO USE SUBJECT TO THE EXCLUSIONS BELOW AND THE ADDITIONAL EXCLUSION OF USE IN ANY COMPETITION, TRIAL, PERFORMANCE TEST, RACE OR TRIAL OF SPEED, INCLUDING OFF-ROAD EVENTS, WHETHER BETWEEN MOTOR VEHICLES OR OTHERWISE, AND IRRESPECTIVE OF WHETHER THIS TAKES PLACE ON ANY CIRCUIT OR TRACK, FORMED OR OTHERWISE, AND REGARDLESS OF ANY STATUTORY AUTHORISATION OF ANY SUCH EVENTS.

(a) Use for Social Domestic & Pleasure purposes.


EXCLUSIONS

(b) Use for the carriage of passengers for hire or reward. (c) Use for the carriage of goods for hire or reward. (d) Use for travel to and from a place of paid employment or for business purposes (e) Use in any competition, trial, performance test, race or trial of speed, including off-road events, whether between motor vehicles or otherwise and irrespective of whether this takes place on any circuit or track, formed otherwise, and regardless of any statutory authorisation of any such event. (f) Use to secure the release of a motor vehicle, which has been seized by, or on behalf of, any government or public authority' (g) Use whilst the driver is not accompanied by a supervising driver as required by current Driving Licence legislation. I hereby certify that the Policy to which this Certificate relates satisfies the requirements of the relevant Law applicable in Great Britain, Northern Ireland, the Isle of Man, the Island of Guernsey, the Island of Jersey and the Island of Alderney.

Aviva Insurance Limited AUTHORISED INSURERS

Robin Spencer Chief Executive, Aviva Insurance Limited

NOTE: For full details of the insurance cover reference should be made to the policy. ADVICE TO THIRD PARTIES: Nothing contained in this Certificate affects your right as a Third Party to make a claim. Any query relating to this insurance or any alteration should be referred to the Agent through whom the Insurance is arranged or the Aviva Office - address obtainable from the policy. The number under the heading 'CERTIFICATE NUMBER' should be quoted in all correspondence. TRANSFER OF INTEREST This certificate is not transferable. TERMINATION: If for any reason the Insurance is terminated during its currency, the Certificate must be returned to the Insurer. Failure to comply with this obligation is an offence under the Road Traffic Acts.
THIS CERTIFICATE HAS BEEN PRODUCED ON A COMPUTER PRINTER AND IS NOT VALID IF ALTERED IN ANY WAY.

Aviva Insurance Limited. Registered in Scotland Number 2116. Registered Office: Pitheavlis, Perth PH2 0NH. Authorised and regulated by the Financial Services Authority

Aviva Insurance Limited. Registered in Scotland Number 2116. Registered Office: Pitheavlis, Perth, PH2 0NH. Authorised and regulated by the Financial Services Authority

Your Schedule
Our Ref: 21070 Produced on: 28 March 2013 9:17 PM

Your policy starts on Your policy expires on Agent

29 March 2013 at 06:00 29 March 2013 at 22:00


dayinsure.com Limited 3 The Old Shippon Holly House Estate Middlewich Road Cranage Cheshire CW10 9LT 0845 450 6615

Type of policy Learner Driver Short Term Insurance from Aviva

Policy Number

1139H00022000021070

This schedule forms part of your policy The Policy Holder Address Premium Car owner Car details

CARLA GLENTWORTH 20 St. Denys Close, South Killingholme, Immingham, South Humberside, DN40 3EX 15.60 (includes 0.60 insurance premium tax)
DAMIEN GIBSON Make Model

FORD
Registration Mark

ESCORT MEXICO

N474HBJ
Excess Limitations as to use

250
Use for social domestic and pleasure purposes Use only when the driver is accompanied by a driver aged 25 to 75 who holds a full UK driving licence and has done for at least 3 years

If the information in this Schedule is incorrect or does not meet your requirements, please tell us at once. You are reminded of the need to notify any facts that we would take into account in our assessment or acceptance of this insurance. Failure to disclose all relevant facts may invalidate your policy, or result in your policy not operating fully. You should keep a written record of any information you give to us.

This policy is not renewable. You can obtain an annual quotation by logging onto www.aviva.co.uk. Online quotations are available from 6am to midnight Mon-Fri, 8am to midnight on Sat & 8am to 10pm on Sun.

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